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Individual
DR. CHARLES JEFFREY SANDOZ
Active
Individual
DR. CHARLES JEFFREY SANDOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
4614
FL
101YM0800X
Mental Health Counselor
Primary
9693
FL
101YP2500X
Professional Counselor
1946
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4614
CAP
FL
Enumeration date
12/06/2008
Last updated
07/20/2009
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